Data Gathering

• HITPC Workplan• HITPC Request for Comments• HITSC Committee Recommendations gathered by ONC• HITSC Workgroup Chairs• ONC Meaningful Use Stage 3 Standards Gaps analysis

ONC Updates

Health IT Policy CommitteeNovember 4, 2014

Jodi Daniel, JD, MPHDirector, Office of Policy

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Discussion Items

• Upcoming HIT Policy Committee milestones

• Community-Based Long Term Services and Supports

• Administration for Community Living (ACL) and ONC Public Workshop

• Collaboration with FTC

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2014 Q4 2015 Q1 2015 Q2 2015 Q3

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Upcoming HIT Policy Milestones

3 Kick-off Federal Milestone

Joint HITPC/HITSC Meeting

Federal HIT Strategic Plan Posted for Comment

Interoperability Roadmap Recs prior to posting for comment

FACA HIT Strategic Plan Comments

Interoperability Roadmap Posted for Comment

HITPC comments on MU3 NPRMHITSC comments on Certification NPRM

All HITPC workgroups kicked off

FACA Milestone

FACA Interoperability Roadmap Comments

(estimate)

National Interoperability Vision – Not Limited to Care Delivery

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• Leverage Health IT to increase health care quality, lower health care costs and improve population health

• Support health –not limited to care delivery

• Build incrementally from current technology

• Establish best minimum possible• Create opportunities for

innovation• Empower individuals

Community-Based Long Term Services and Supports(LTSS)

What is it? Why is it important?

• A broad array of assistance needed by, and provided to, individuals with physical, cognitive, and/or mental impairments who never acquired, or have lost, the ability to function independently (e.g., assistance with activities of daily living, adult day care, care management, social services, assistive technologies).

• As part of the Affordable Care Act (ACA), Congress has provided incentives to promote the use of community-based LTSS and promoted the movement from institutions to communities for people who require LTSS.

• Medicaid spending for LTSS represented 34% of all Medicaid spending in FFY 2012, $140 Billion. Almost half (49.5%) of LTSS was spent on Home and Community Based Services.1 5

New Standards and Interoperability Framework Initiative on eLTSS

Standards and Interoperability Framework eLTSS InitiativeONC and CMS are partnering to launch a new eLTSS Initiative, in coordination with the CMS TEFT Grant1

• The eLTSS Initiative will work to identify and harmonize electronic resources that enable the creation, exchange and re-use of interoperable service plans for use by health-care and community-based social service providers, payers and the individuals they serve.

• These plans can help to improve the coordination of health and social services that support an individual’s mental and physical health.

• Initiative is open for any interested stakeholder group to participate; Launch date November 6th 2014

• Learn more about this initiative and register: http://wiki.siframework.org/eLTSS+Join+the+Initiative

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ONC and ACL Public Workshop:Putting the Person at the Center

• The Administration for Community Living (ACL) and ONC hosted a town-hall style public workshop, Putting the Person at the Center: Integrating Plans for Long-Term Services and Supports and Health Care Delivery through Health Information Technology on Thursday, Oct. 16, 2014.

• Included discussions on Care Planning, Technology and Integration Bright Spots, Key Issues and Challenges, and Delivery and Payment Reform Policy Levers to Promote the Integration of Person-Centered Planning, LTSS and Health Care Information through Health IT

• Next Steps: Explore policies to advance models that integrate health and service delivery information, consider opportunities for new quality measurement, further develop standards.

• Materials available: http://www.healthit.gov/person-centered-care

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Collaboration with FTC

• ONC and the Federal Trade Commission (FTC) are working together closely to promote competition and innovation in health IT markets

• FTC supports ONC's efforts to develop an Interoperability Roadmap

• Companion blog posts published 10/7 outline areas of ongoing collaboration:– ONC Post:

http://www.healthit.gov/buzz-blog/health-information-exchange-2/promoting-competition-achieve-healthit-health-care-goals/

– FTC Post: http://www.ftc.gov/news-events/blogs/competition-matters/2014/10/promoting-healthy-competition-health-it-markets

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FTC Collaboration Cont’d

• ONC Blog Highlights– Sharing industry knowledge and awareness as well as technical, legal, and other health IT

expertise– Monitoring business practices that could impede interoperability or harm consumers or

competition – Actively sharing what we learn to assist FTC in monitoring and investigating questionable

practices

• FTC Blog Highlights– Participating in key federal health IT initiatives (e.g. Federal Health IT Advisory Council)– Providing competition expertise on ONC and HHS policies (including Interoperability

Roadmap)– Advising ONC on standard-setting issues, ways to promote transparency and

consumer choice, and barriers to competition and innovation in health IT markets

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Questions?